| NPI | 1477286169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE W MWANIKI Owner Of Entity 469-636-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2024-04-16 |